SSJF B-43987 MedSelect Flex-Alton and Choate - SPO approved.pdf

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Sole Source Justification Form Version 7.01 Page of Sole Source Justification Form - Part I Section I - General Information Will this Sole Source amend a Professional or Artistic Services contract?

If yes, what was the original contract value?

*Sole Source may not be used for amendments for Professional or Artistic Services if the amendment would increase the value by more than 5% of the initial award or extend the term by more than 60 days.

Section II - Proposed Term If a Term Contract, does the term, including renewals, exceed 12 months?

If yes, provide a detailed justification including any economic benefit received for agreeing to a multi-year term:

Section III - Funding Source Select the type of funding to be used (Check all that apply):

Section IV - Sole Source Justification Are there secondary justification(s) for this sole source?

Section V - Purchase History Has the Agency or University Purchased these supplies or services in the past?

Term Term From Term To Value Description Contract Number Type Section VI - Business Rationale

1. Provide a detailed explanation of the need for the supplies or services:

2. Provide a list and describe in detail the specifications required to satisfy the need:

3. Provide detail explaining the justification selected in Section IV to explain why the requested supplies or services are the only ones available that can satisfy the agency or university requirements?

4. What are the unique features of the supplies or services that are not available in any other product or by any other vendor? Provide specific quantifiable factors/qualifications:

5. Has the Agency or University considered alternative supplies or services to satisfy their need?

5a. If yes, name the alternative vendors whose supplies or services were evaluated:

5b. If yes, what were the alternatives for each vendor and why were they unacceptable? Be specific with regard to features, characteristics, requirements, capabilities and compatibility:

5c. Explain how the market evaluation was conducted?

*This evaluation is to determine available options within a market. If the evaluation is to determine quality or best suited option, this is not the appropriate source selection. Under no circumstances shall the evaluation consist of testing alternative options. These activities must be conducted in a competitive transparent environment (i.e. IFB or RFP).

5a. If no, why weren't alternatives evaluated?

6. Are there resellers or distributors?

7. What efforts were made to get the best possible price (i.e. did the agency/university negotiate) and how did you determine the price for this purchase is considered fair and reasonable?

8. Will this purchase obligate the State to this vendor for future purchases such as maintenance, licensing or continuing need?

8a. If yes, please provide details regarding future obligations and/or needs:

9. What will be the financial or other impact to the State if this sole source is not approved and a competitive bid is required?

10. Is there any additional information you would like to add to justify this sole source?

Section VII Requesting Department Signature Required I know and understand the contents of this Sole Source Justification and attest that all statements are true and correct and the fairness and reasonableness of the price was adequately confirmed.

State Agency Bureau/Division Head or University Purchasing Director Approval and Signature Required I know and understand the contents of this Sole Source Justification and attest that all statements are true and correct and the fairness and reasonableness of the price was adequately confirmed. (All prior form fields will lock once this e-signature is completed) SPO Approval and Signature Required Sole Source Justification Form - Part II Section I - General Information Was a Sole Source hearing held per 30 ILCS 500/20-25?

Section II - Sole Source Hearing Details The State posted to the Illinois Procurement Bulletin a description of the State's need, the justification for the sole source decision, and information regarding the opportunity to submit comments and testify at a public hearing. Notice of the hearing was also posted outside of the hearing room 48 hours prior to the hearing.

The public hearing was conducted for the purpose of receiving testimony regarding the sole source determination. The Hearing Officer recommends the following:

The following relevant documents are attached:

Section III - CPO Approval and Signature Required 9.0.0.2.20101008.1.734229 Ellen.H.Daley@illinois.gov

New MedSelect Units - Due to security and authentication, the after-hours dispensing units are necessary to protect the medication and securely track how and what is being dispensed. The system tracks what medication is being stored, dispensed, and who obtained the items via a central server and real-time tracking.

MFUDM - Unit Dose Module - Unit Dosed Medication Storage (see above for reason) MFDM5 - Main Drawer Modules - Other Packaged Medication (see above for reason) MDT - Display Terminal - Touch Screen Dispense Terminal (see above for reason) MFSCM - Standard Cabinet Module - Other Medication Storage (see above for reason) MMOF - MedSelect MedOrder Configuration MFRPKI - MedSelect Flex Receipt Printer Kit - Field Installed MELC- MedSelect Electronic Lock Controller MFCDM- MedSelect Flex Compact Drawer Module

The following items (1 each) will be purchased for the Choate Pharmacy to supplement existing equipment:

MFDM5- MedSelect Flex Drawer Module - 5 Drawer MDT - MedSelect Display Terminal MMOF- MedSelect MedOrder Configuration MFUDM - MedSelect Flex Unit Dose Module MFRPKI - MedSelect Flex Receipt Printer Kit - Field Installed

Pricing for items required to meet the needs of the Choate and Alton facilites are:

MFUDM - Unit Dose Module - Unit Dosed Medication Storage -each $16,087.50 - this unit expands storage capacity to accommodate blister packaged medicine which may be required when the Pharmacists are not available.

MFDM5 - Main Drawer Module -5 Drawer- Other Packaged Medication -each $17,428.13-- this unit provides secure storage for medicines and medical devises that are not pill shaped.

MDT - Display Terminal - Touch Screen Dispense Terminal each $12,065.63 -- the terminal is integrated into these units and provides the input devise for data as well as the interface to the central IT storage.

MFSCM - Standard Supply Cabinet Module - Other Medication Storage each $8,714.06- this unit expands storage capacity to accommodate supplemental medicines which may be required when the Pharmacists are not available.

MMOF - MedSelect MedOrder Configuration each $576.47-- this is the software required for operation.

MFRPKI- MedSelect Flex Receipt Printer Kit - Field Installed-each $1,072.50 --needed to track dispensed medications.

MELC - MedSelect Electronic Lock Controller each $1,005.47-- needed to maintain security.

MFCDM- MedSelect Flex Compact Drawer Module each $9,116.25 -- needed for extra storage capacity.